| Necole Rivers Llc | |
|
1023 Canyon Creek Dr Ste 100 Temple TX 76502-3278 | |
| (254) 265-7822 | |
| (254) 265-7061 |
| Full Name | Necole Rivers Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1023 Canyon Creek Dr Ste 100, Temple, Texas |
| Authorized Official Name and Position | Necole L Rivers (PRESIDENT/PROVIDER/PSYCHOLOGIST) |
| Authorized Official Contact | 2543383175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Necole Rivers Llc 1506 Davis Mill Ln Salado TX 76571-5990 Ph: (254) 338-3175 | Necole Rivers Llc 1023 Canyon Creek Dr Ste 100 Temple TX 76502-3278 Ph: (254) 265-7822 |
| NPI Number | 1063948032 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/09/2025 |
| Medicare PECOS PAC ID | 0042587255 |
|---|---|
| Medicare Enrollment ID | O20170518001141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063948032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Necole L Rivers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053468603 PECOS PAC ID: 5294019626 Enrollment ID: I20170303001064 |
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